Individual
MIRANDA ELIZABETH BRAVO ALKADDUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 BEGONIA WAY, BEAUMONT, CA 92223-8643
(951) 204-7275
Mailing address
1435 BEGONIA WAY, BEAUMONT, CA 92223-8643
(951) 204-7275
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
220154480
CA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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